Imaging prices at Crouse Hospital
Syracuse, NY · every code in this section with a posted price and a Medicare benchmark.
316 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $245 | $245 | 2.3× |
| Abdomen 2 views (74019) | $258 | $258 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,111 | $1,111 | 2.2× |
| Adrenal Cortex & Medulla Img (78075) | $1,694 | $1,694 | 1.0× |
| Angio pulmonary bilat (75743) | $5,989 | $5,989 | 1.5× |
| Angiography extremity bilateral rs&i (75716) | $5,406 | $5,406 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $5,197 | $5,197 | 1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,878 | $4,878 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,829 | $3,829 | 1.0× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$151–$181 | $151–$181 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,031 | $6,031 | 0.9× |
| Artery X-Rays Abdomen (75726) | $9,947 | $9,947 | 1.4× |
| Artery X-Rays Pelvis (75736) | $6,031 | $6,031 | 0.9× |
| Artery X-Rays Spine (75705) | $9,947 | $9,947 | 1.4× |
| Arthrogram Wrist (73115) | $979 | $979 | 2.2× |
| Basic radiation dosimetry calculation (77300) | $208 | $208 | 1.2× |
| Bone age studies (77072) | $228 | $228 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,111 | $1,111 | 2.2× |
| Bone Imaging Limited Area (78300) | $767 | $767 | 1.5× |
| Bone Imaging Whole Body (78306) | $985 | $985 | 2.0× |
| Bone marrow imaging; whole body (78104) | $862 | $862 | 1.7× |
| Bone survey infant (77076) | $258 | $258 | 2.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,897 | $1,897 | 2.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,116 | $1,116 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $374 | $374 | 3.4× |
| Cerebrospinal Fluid Scan (78630) | $968 | $968 | 1.4× |
| Chest 1 view (71045) | $223 | $223 | 2.1× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$203–$244 | $203–$244 | varies |
| Chest 3 views (71047) | $245 | $245 | 2.3× |
| Chest 4 or more views (71048) | $275 | $275 | 2.1× |
| Cholecystography Oral Contrast (74290) | $344 | $344 | 1.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$145–$174 | $145–$174 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,011 | $1,011 | 7.7× |
| Contrast Exam Abdominl Aorta (75625) | $3,956 | $3,956 | 1.0× |
| Contrast X-Ray Bladder (74430) | $545 | $545 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $1,085 | $1,085 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,072–$2,122 | $2,072–$2,122 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,238 | $1,238 | 4.2× |
| CT abdomen w contrast (74160) | $1,373 | $1,373 | 6.3× |
| CT abdomen w wo contrast (74170) | $1,700 | $1,700 | 7.8× |
| CT abdomen w/o contrast (74150) | $1,019 | $1,019 | 7.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,640 | $2,640 | 6.1× |
| CT Angio Chest (71275) | $1,625 | $1,625 | 7.4× |
| CT Angio Head (70496) | $1,095 | $1,095 | 5.0× |
| CT angio hrt w/3d image (75574) | $1,602 | $1,602 | 3.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,100 | $1,100 | 5.0× |
| CT Angio Neck (70498) | $1,516 | $1,516 | 6.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,676 | $1,676 | 7.7× |
| CT cervical spine w/ contrast (72126) | $1,102 | $1,102 | 2.5× |
| CT cervical spine w/o contrast (72125) | $1,001 | $1,001 | 7.7× |
| CT cervical spine w/wo cont (72127) | $1,316 | $1,316 | 6.0× |
| CT chest w contrast (71260) | $1,558 | $1,558 | 7.1× |
| CT chest w/wo contrast (71270) | $1,607 | $1,607 | 7.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $886 | $886 | 4.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $803 | $803 | 6.2× |
| CT head/brain with contrast (70460) | $1,094 | $1,094 | 5.0× |
| CT head/brain without and with contrast (70470) | $1,374 | $1,374 | 6.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,336 | $1,336 | 3.1× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$104–$156 | $104–$156 | varies |
| CT hrt w/3d image congen (75573) | $1,806 | $1,806 | 4.1× |
| CT iac w contrast (70481) | $1,068 | $1,068 | 4.9× |
| CT l-spine w&w/o contrast (72133) | $1,660 | $1,660 | 7.6× |
| CT lower ext w/o (73700) | $886 | $886 | 6.8× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$990–$1,180 | $990–$1,180 | varies |
| CT lumbar spine w contrast (72132) | $1,262 | $1,262 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $1,175 | $1,175 | 9.0× |
| CT maxillofacial w contrast (70487) | $1,394 | $1,394 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,304 | $1,304 | 10.0× |
| CT neck tissue combo (70492) | $1,243 | $1,243 | 5.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,623 | $1,623 | 7.4× |
| CT orbits w/o contrast (70480) | $1,366 | $1,366 | 10.5× |
| CT pelvis w&w/o contrast (72194) | $1,411 | $1,411 | 6.4× |
| CT pelvis w/o contrast (72192) | $1,013 | $1,013 | 7.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$990–$1,556 | $990–$1,556 | varies |
| CT scans face/jaw combo (70488) | $1,491 | $1,491 | 6.8× |
| CT soft tissue neck w contrast (70491) | $1,086 | $1,086 | 5.0× |
| CT soft tissue neck w/o contrast (70490) | $719 | $719 | 5.5× |
| CT thoracic spine w contrast (72129) | $1,382 | $1,382 | 6.3× |
| CT thoracic spine w/o contrast (72128) | $1,293 | $1,293 | 9.9× |
| CT thoracic spine w/wo cont (72130) | $1,563 | $1,563 | 7.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT upper ext wo (73200) | $1,110 | $1,110 | 8.5× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,386–$1,733 | $1,386–$1,733 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,349–$1,565 | $1,349–$1,565 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,819 | $1,819 | 8.3× |
| Cta Abdomen (74175) | $1,439 | $1,439 | 6.6× |
| CTA pelvis (72191) | $1,725 | $1,725 | 7.9× |
| Dilation ureters/urethra rs&i (74485) | $3,535 | $3,535 | 1.4× |
| Discography Cerv/Thor Spine (72285) | $3,980 | $3,980 | 1.6× |
| Diskography lumbar (72295) | $3,980 | $3,980 | 1.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $245 | $245 | 1.9× |
| Dxa Bone Density Axial (77080) | $399 | $399 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $147 | $147 | 1.4× |
| Echo exam uterus (76831) | $377 | $377 | 1.3× |
| Esophagram (74220) range across 2 matching MRF lines |
$297–$317 | $297–$317 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $235 | $235 | 1.8× |
| Fluoroscopy up to 1 hr (76000) | $517 | $517 | 1.7× |
| Follow-Up Angiography (75898) | $3,727 | $3,727 | 0.9× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$156–$187 | $156–$187 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$199–$239 | $199–$239 | varies |
| Gastric emptying imaging study (78264) | $1,852 | $1,852 | 3.7× |
| Gated Heart Planar Single (78472) | $978 | $978 | 2.0× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$135–$162 | $135–$162 | varies |
| Heart first pass single,planar (78481) | $2,238 | $2,238 | 3.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,641 | $3,641 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,641 | $3,641 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,111 | $1,111 | 1.6× |
| Hepatobiliary System Imaging (78226) | $1,008 | $1,008 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $1,391 | $1,391 | 0.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$447–$467 | $447–$467 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $138 | $138 | 1.3× |
| Interstitial radiation source applic complex (77778) | $6,360 | $6,360 | 7.3× |
| K Flow/Funct Image Multiple (78709) | $1,044 | $1,044 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $1,043 | $1,043 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,043 | $1,043 | 1.5× |
| Knee 3 Views (73562) | $254 | $254 | 2.3× |
| Liver & Spleen Imaging Static Only (78215) | $708 | $708 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $980 | $980 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $631 | $631 | 0.9× |
| Lung perfusion differential (78597) | $554 | $554 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $631 | $631 | 0.9× |
| Lymph System Imaging (78195) | $862 | $862 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $542 | $542 | 1.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $787.05 | $787.05 | 3.6× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $685 | $685 | 1.0× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $791 | $791 | 3.6× |
| Mammary ductogram or galactogram multiple (77054) | $1,173 | $1,173 | 3.9× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$335–$402 | $335–$402 | varies |
| Meckels Divert Exam (78290) | $938 | $938 | 1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $43 | $43 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $944 | $944 | 2.2× |
| MRA head w/o contrast (70544) | $900 | $900 | 3.0× |
| MRA head with contrast (70545) | $936 | $936 | 2.1× |
| MRA neck w contrast (70548) | $936 | $936 | 2.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,050 | $1,050 | 2.4× |
| MRA neck w/o contrast (70547) | $900 | $900 | 3.0× |
| MRI abdomen w contrast (74182) | $1,050 | $1,050 | 2.4× |
| MRI abdomen w/o contrast (74181) | $900 | $900 | 3.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,577 | $1,577 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,580 | $1,580 | 3.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,308 | $1,308 | 1.3× |
| MRI cervical spine w contrast (72142) | $1,050 | $1,050 | 2.4× |
| MRI cervical spine w/o cont (72141) | $900 | $900 | 3.0× |
| MRI chest w/o contrast (71550) | $900 | $900 | 3.0× |
| MRI chest with contrast (71551) | $1,577 | $1,577 | 1.6× |
| MRI chest wo w contrast (71552) | $1,650 | $1,650 | 3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $936 | $936 | 2.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,050 | $1,050 | 2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $900 | $900 | 3.0× |
| MRI lumbar spine w contrast (72149) | $1,050 | $1,050 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,050 | $1,050 | 2.4× |
| MRI orbit face &/neck w/o contrast (70540) | $900 | $900 | 3.0× |
| MRI orbit face neck w contrast (70542) | $944 | $944 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,050 | $1,050 | 2.4× |
| MRI pelvis w contrast (72196) | $944 | $944 | 2.2× |
| MRI pelvis w/o & w contrast (72197) | $1,050 | $1,050 | 2.4× |
| MRI pelvis w/o contrast (72195) | $900 | $900 | 3.0× |
| MRI thoracic spine w/o contrast (72146) | $900 | $900 | 3.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $944 | $944 | 2.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $542 | $542 | 1.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $944 | $944 | 2.2× |
| MRI, abdomen, combo (74183) | $1,050 | $1,050 | 2.4× |
| MRI, dorsal spine combo (72157) | $1,050 | $1,050 | 2.4× |
| MRI, dorsal spine contrast (72147) | $1,050 | $1,050 | 2.4× |
| MRI, joint upper extrem (73221) | $787 | $787 | 2.6× |
| MRI, joint upper extrem combo (73223) | $1,314 | $1,314 | 3.0× |
| MRI, lumbar spine combo (72158) | $1,050 | $1,050 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $1,956 | $1,956 | 1.2× |
| N-invas est c ffr sw aly CTA (75580) | $1,806 | $1,806 | 1.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$168–$202 | $168–$202 | varies |
| Nuclear Rx Intra-Arterial (79445) | $594 | $594 | 2.0× |
| Nuclear Rx Oral Admin (79005) | $545 | $545 | 1.9× |
| Ob us nuchal meas 1 gest (76813) | $164 | $164 | 1.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $892 | $892 | 1.3× |
| Parathyroid Planar Imaging (78070) | $879 | $879 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $892 | $892 | 1.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$210–$252 | $210–$252 | varies |
| Peritoneogram Rs&I (74190) | $685 | $685 | 1.0× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,742 | $1,742 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $343 | $343 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,070 | $1,070 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $245 | $245 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$139–$167 | $139–$167 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$168–$202 | $168–$202 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$162–$334 | $162–$334 | varies |
| Radex fingr minimum 2 views (73140) | $162 | $162 | 1.5× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$178–$214 | $178–$214 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$206–$245 | $206–$245 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$124–$199 | $124–$199 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$145–$174 | $145–$174 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$153–$184 | $153–$184 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$216–$245 | $216–$245 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$154–$185 | $154–$185 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$200–$240 | $200–$240 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$139–$167 | $139–$167 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$229–$285 | $229–$285 | varies |
| Radex Toe Minimum 2 Views (73660) | $164 | $164 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$124–$249 | $124–$249 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$151–$226 | $151–$226 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $206 | $206 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$194–$233 | $194–$233 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $281 | $281 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $442 | $442 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $432 | $432 | 2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $328 | $328 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$225–$270 | $225–$270 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$175–$260 | $175–$260 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $537 | $537 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $499 | $499 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $460 | $460 | 2.1× |
| Radiologic examination femur 1 view (73551) | $112 | $112 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$186–$223 | $186–$223 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$198–$238 | $198–$238 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $321 | $321 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $193 | $193 | 1.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$295–$296 | $295–$296 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,022 | $2,022 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,001 | $2,001 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,997 | $1,997 | 2.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,057 | $2,057 | 1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,165 | $2,165 | 1.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,120 | $2,120 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $1,702 | $1,702 | 5.8× |
| Scapula (73010) range across 4 matching MRF lines |
$170–$204 | $170–$204 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $75 | $75 | 3.2× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$124–$149 | $124–$149 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$234–$281 | $234–$281 | varies |
| Special treatment procedure (77470) | $1,367 | $1,367 | 2.0× |
| Spleen Imaging (78185) | $698 | $698 | 1.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$220–$245 | $220–$245 | varies |
| Superior sagittal sinus venogram (75870) | $3,727 | $3,727 | 0.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$186–$223 | $186–$223 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$200–$240 | $200–$240 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$170–$204 | $170–$204 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $565 | $565 | 1.1× |
| Thyroid Met Imaging Body (78018) | $1,046 | $1,046 | 1.5× |
| Thyroid Uptake Measurement (78012) | $610 | $610 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $578 | $578 | 1.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$248–$496 | $248–$496 | varies |
| Ultrasound elastography first target lesion (76982) | $271 | $271 | 2.1× |
| Ultrasound Elastography Parenchyma (76981) | $271 | $271 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $169 | $169 | 1.3× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $485 | $485 | 1.1× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$284–$296 | $284–$296 | varies |
| Umbilical-artery Doppler (OB) (76820) | $247 | $247 | 1.9× |
| Unlisted Dx Radiographic Procedure (76499) | $273 | $273 | 2.5× |
| Upper gi w/o kub (74240) | $492 | $492 | 2.2× |
| Ureteral Reflux Study (78740) | $1,111 | $1,111 | 2.2× |
| Urethrocystogram voiding (74455) | $557 | $557 | 1.9× |
| Urethrocystography retrograde (74450) | $338 | $338 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$404–$606 | $404–$606 | varies |
| Us chest (76604) | $302 | $302 | 2.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$296–$297 | $296–$297 | varies |
| Us exam, pelvic, limited (76857) | $187 | $187 | 1.4× |
| Us head (76506) | $218 | $218 | 1.7× |
| Us kidney transplant (76776) | $435 | $435 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$246–$295 | $246–$295 | varies |
| Us ob limited 1 or more fetuses (76815) | $213 | $213 | 1.6× |
| Us ob transvaginal (76817) | $311 | $311 | 2.4× |
| Us pelvic non ob complete (76856) | $318 | $318 | 2.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $222 | $222 | 1.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $139 | $139 | 1.1× |
| Us retroperitoneal complete (76770) | $468 | $468 | 3.6× |
| Us retroperitoneal limited (76775) | $459 | $459 | 3.5× |
| Us scrotum and contents (76870) | $388 | $388 | 3.0× |
| Us spinal canal and contents (76800) | $296 | $296 | 2.3× |
| Us thyroid (76536) | $435 | $435 | 3.3× |
| Vein X-Ray Chest (75827) | $1,831 | $1,831 | 0.9× |
| Venogram Sinus/Jugular (75860) | $3,956 | $3,956 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,956 | $3,956 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,831 | $1,831 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,831 | $1,831 | 0.9× |
| Venography Orbital Rs&I (75880) | $1,214 | $1,214 | 1.6× |
| Venography Renal Bilateral (75833) | $3,640 | $3,640 | 0.9× |
| Venography Renal Unilateral (75831) | $3,625 | $3,625 | 0.9× |
| Venous sampling by catheter (75893) | $6,556 | $6,556 | 0.9× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$176–$211 | $176–$211 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$170–$204 | $170–$204 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$596–$715 | $596–$715 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,956 | $3,956 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$215–$258 | $215–$258 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$141–$169 | $141–$169 | varies |
| X-Ray Exam Breast Specimen (76098) | $533 | $533 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $206 | $206 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $206 | $206 | 1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $206 | $206 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $254 | $254 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $262 | $262 | 2.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $263 | $263 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $206 | $206 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $206 | $206 | 1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $226 | $226 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$284–$296 | $284–$296 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$168–$202 | $168–$202 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$259–$296 | $259–$296 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$186–$223 | $186–$223 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$198–$238 | $198–$238 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$168–$202 | $168–$202 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $108 | $108 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$137–$244 | $137–$244 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$186–$263 | $186–$263 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$170–$204 | $170–$204 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$225–$307 | $225–$307 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$212–$254 | $212–$254 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$206–$247 | $206–$247 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$176–$211 | $176–$211 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$215–$245 | $215–$245 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$268–$296 | $268–$296 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$182–$258 | $182–$258 | varies |
| X-Ray Tmj Unilat (70328) | $277 | $277 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $539 | $539 | 1.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$216–$259 | $216–$259 | varies |
| X-Rays Bone Survey Complete (77075) | $347 | $347 | 2.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$230–$276 | $230–$276 | varies |
| Xr facial bones less than 3 views (70140) | $306 | $306 | 2.8× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$126–$151 | $126–$151 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.